JP2018531059A - Elasticity adjustment device for orthodontics for tooth-skull-facial equipment - Google Patents

Abstract

【Task】
At least one pair of vestibular flanges (2) extending upwardly to cover the upper and lower teeth and the upper and lower jaw vestibular gingiva; and the palatal and lingual surfaces of the upper and lower teeth At least one set of tongue-palate flanges (6) with a steeply inclined surface (6a) extending to cover and extending from the bottom incisor bottom edge to the lower anterior teeth to push and move the tongue -At least one occlusal surface (3, 3 ', 3 ", 3"') for connecting the flange (2, 6),-the vestibular flange (2) and the tongue-palate flange (6) ) And a concave empty volume (7) defined by the occlusal surface (3, 3 ′, 3 ″, 3 ″ ′), an orthodontic elastic adjustment device for a tooth-skull-facial device ( 1, 10, 20, 20 ', 30, 40, 50, 60) And a cross-reference protrusion (9) configured at each rear edge of the upper tongue-palate flange (6), the occlusal surface (3, 3 ', 3 ", 3"') and the vestibular flange ( 2) to receive an alignment removable clamp at the rear side of the upper surface of the occlusal surface (3, 3 ', 3 ", 3"') at the corner between the tongue-palate flange (6) An orthodontic elastic adjustment device (1, 10, 20, 20 ', 30, 40, 50, 60) for a tooth-skull-facial device, characterized in that it comprises an alignment groove configured.
[Selection] Figure 2

Description

The present invention relates to an orthodontic elastic adjustment device for a tooth-skull-facial device.

  In particular, the present invention relates to an orthodontic elastic adjustment device of the type used in tooth-skull-face orthopedics.

  Orthopedic tooth-skull-facial orthopedic surgery will enable proper positioning of the facial skeleton with complete neuromuscular and joint balance (ATM) to properly determine tooth-skeletal malocclusion It is known to aim at eliminating any negative obstacles that can be changed. This type of skull-face orthopedics addresses the modification and resolution of deformations of the bone skeleton of the facial skeleton. Different types of skull-facial imbalances with relatively small discrepancies can be determined in most cases by osteoarticulation issues. In addition, cranial-facial bone structure disorders can be disproportionate to the problems associated with two molars (upper dental arch and mandibular arch) in the presence of malocclusions, and the ratio between the same arches. Any of the gaining cranial problems must be evaluated. For this reason, the dental arch and the skull-facial bone structure must also take into account all the muscular structures, in particular the tongue, skull muscles and joints. In addition, the masticatory function and the mechanism of masticatory organ growth must be evaluated. In this context, appropriate “mastication function” should be achieved by starting treatment as early as possible and monitoring all illnesses that can change the chewing pattern of the patient throughout life. To achieve this objective, orthopedic functional instruments that modify the craniofacial skeletal structure and mandibular posture with therapeutic sensations to improve the function and shape of the skeletal structure forming the stomatognathic device can be used. is necessary. In addition, orthodontic and orthopedic work must be evaluated with respect to the shape of the palate and skull-facial system.

  Furthermore, it should be taken into account that the position of the mouth and head is a component of posture recovery force, and that each misalignment of the head results in different neck muscle inconsistencies and tension asymmetries with respect to the type of deflection. is there. These tensions are connected to the underlying trunk muscles and other parts of the underlying facial masticatory muscles, thereby deforming the structure and causing malocclusion. In fact, skull-facial bones can be considered metamorphic vertebrae, and there is structural continuity between the skull and the spinal column. This is due to the above mentioned structural impairments that define osteopathic damage, and with the resulting spinal metastasis, and thus posture changes, can determine various squamous-facial ulcer disorders. This is the reason why malocclusion may exist as cranial scoliosis.

  The relationship between the two skull-facial structures and the dental arch is very obvious. This type of defect can also be detected by reading the aesthetics of the face. When there is a defect, it may have different types of deformation of the skull and face, unaligned lips, nose, eye deflection, and facial ulcer disorders that are adjusted by systematically distorted jaws resulting in malocclusion It can be assumed. When this system deflection is present, it is disturbing and can affect all skull-facial and stomatognathic systems, and the entire body suffers from the consequences.

  The definitive key to disability by osteopaths, orthodontists, functionalists, and orthopedists is occipital deflection, and bones located posteriorly at the base of the skull are particularly important. This is because it is connected to the spinal column via the first vertebra of the cervical spine, and the sphenoid bone is also an important bone, located in the center of the skull-facial system, and the position of the maxilla is Depending on their connection, it depends on the sphenoid bone.

  In fact, when these two structures, namely the occipital region and the sphenoid bone, are displaced due to inaccurately located gears, the given cartilage connection-spheno-basic (SSB) Determines maxillary rotation, which causes various types of malocclusions with associated craniofacial ulcer damage through a direct connection to the sphenoid gear. Different deflections incurred by the occipital and sphenoid bones are: bending failure, extension failure, failure due to torsion, failure due to lateral flexion-rotation, failure due to high vertical strain, failure due to low vertical strain, bilateral That is, a predetermined failure classified as a lateral distortion failure and a compression failure that can occur all from the left and right.

  Many are collapses at all levels of the tooth-skull-facial structure when these disorders are present due to skull posterior and sphenoid deflections. These pains can begin in the spine and spread throughout progression.

  As such, orthodontic and orthopedic devices that adjust the tooth-craniofacial structure also benefit the spinal column and thus determine the proper posture.

  A known solution is an orthodontic device described in patent application FO2014A000002 assigned to EPTAMED SRL. In particular, this orthodontic apparatus is adapted to be inserted between the upper and lower dental arches of the user. The device is formed at least in part by an elastically expandable material and comprises at least one arc-shaped channel for at least a partial housing of the dental arch. Furthermore, the orthodontic device described comprises at least one position indicator element in a predetermined area designed to be expanded to change the housing channel.

  However, other known tooth-facial orthopedic devices, including the devices of the aforementioned patent applications, are particularly inferior jaw growth (second skeletal class where the jaw is located behind the maxilla) or excessive jaw Treat certain types of skeletal malocclusion associated with development (third skeletal class with jaws anterior to maxilla) or lateral shift of the jaw (displaced right or left with respect to maxilla) In addition, only skeletal problems that can be vertical or sagittal base points (back and forth movement) or crossing (jaws moved to the right or left with respect to the upper jaw) are considered. Thus, the known device is totally unsuitable for solving the skull-facial skeletal problem, i.e. the deflection (changing symmetry) of the skeletal structure forming any entity of the skull-facial structure. Furthermore, the device of the EPTAMED patent does not take into account aspects of the person's physique, has the limitations of the type of arch shape, and has features that are not suitable for solving different ulcer disorders of the tooth-craniofacial system. This is because the flange does not align well with the teeth and the gingival bone region is necessarily very short and not at the boundary with the arch. Therefore, it cannot bring about the effect of proprioceptive stimulation of the bone matrix necessary to restore the balance of the tooth-skull-facial structure.

  In fact, the known devices cannot move the skull to restore the structure of the skull-facial-mandibular bone structure, nor can it adjust the dental arch.

  Two known solutions dealing with these problems are when DE-A-10201310291 and U.S. Pat. No. 5,876,199. The first patent application describes an orthodontic appliance comprising a device body for mounting on a topsheet, the device body comprising an inner wall located on the lingual side of the topsheet, and a patient's upper arch on the buccal side. And a web, the web connecting the inner wall and the outer wall, each wall having an upper end protruding beyond the web, the upper end being an upper dentition Defines a receiving channel for the arch, and the inner and outer walls each have a lower portion depending below the ridge, the lower portion defining a receiving channel for the lower dental arch and notices the upper portion of the inner wall The upper portion of the inner wall of the tongue opening that is defined to receive the tip of the patient's tongue is configured such that the front tip of the palate is adjacent when the tip of the patient's tongue is received.

  The second patent describes an orthodontic appliance that can be adapted to various mouth and tooth sizes to help properly position the teeth in the individual's mouth. The device includes a lip-oral flange and a tongue flange spaced from the lip-oral flange, both of which define a generally U-shaped configuration with an occlusal view, and the device includes two flanges. Includes isthmus that connect to each other. At least one tooth space is defined between the lip-oral flange and the tongue flange to accept either the upper row or the lower row of the individual teeth. This appliance does not include individual tooth sockets, but instead utilizes the pressure applied by the lip-oral flange, tongue flange, and the relative angle and material thickness to properly position the teeth. The appliance can fit mouths and teeth of various sizes because it does not include individual tooth sockets. The instrument also serves as a device for preventing sleep apnea, snoring, and bruxism, as well as a competition mouth guard.

  The problem with these known solutions is that they do not provide correct re-education of the tongue and swallowing when these problems exist. In fact, the tongue has the most important role in the mouth as it can affect the shape of the dental arch and, among other things, can lead to inconsistencies. A person breathing through the nose contributes to respiratory primary parasympathetic action (CSP) by having the tongue positioned below the palate rather than on the palate and expanding the palate with each swallow. Instead, the person breathing through the mouth is placed at the lower end rather than the upper end where the tongue hits the palate. In this position, the tongue cannot stimulate its growth, and by being inserted over the teeth, various types of malocclusion and periodontal tissue that is sometimes even irreversible in anterior tooth loss And cause damage. However, if the tongue is in the correct posture and swallowing is accurate, it stabilizes the skull-vertebral column ratio and synchronizes the gastric pit-dental relationship, so that the sphenoid bone and the occipital region Balance the relationship between. The tongue, which does not make the palate compact and determines inaccurate swallowing, can interfere with these entire receptor system and lead to posture changes.

German Patent Application Publication No. 10201310291 US Pat. No. 5,876,199

  The object of the present invention is to ensure a polite adaptive occlusion scheme with respect to the skull-facial pattern and to adjust the skull-facial skeletal structure for recovery of several thrust disorders and skull and facial deflection. To provide an orthodontic elastic adjustment device for a tooth-skull-facial device that can perform "traditional" treatments, enable re-education of poor swallowing and overcome the limitations provided by known devices It is.

  According to the present invention there is provided an orthodontic elastic adjustment device for a tooth-skull-facial device as defined in claim 1.

  For a better understanding of the present invention, the present invention will now be described by way of example only, and not by way of limitation, with reference to the accompanying drawings.

1 shows a front view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a side view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a rear view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a view of the inner wall of the upper arch of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a view of the inner wall of the lower arch of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows an occlusal surface of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. 1 shows a front view of a first alternative of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention; FIG. FIG. 3 shows a side view of a first alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 3 shows a rear view of a first alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 3 shows a view of the inner wall of the upper arch of the first alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 4 shows a view of the inner wall of the lower arch of the first alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 4 shows a front view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a side view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a rear view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the upper arch of the second alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the lower arch of the second alternative of the first embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 6 shows a front view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a side view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a rear view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a view of the inner wall of the upper arch of the third alternative of the first embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the lower arch of the third alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 6 shows a front view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 3 shows a side view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a rear view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the lower arch of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a front view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a side view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a rear view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 8 shows a view of the inner wall of the lower arch of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 4 shows an occlusal surface of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 5 shows an occlusal surface of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a side view of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a rear view of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 9 shows a side view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 9 shows a rear view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a perspective view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a view of the inner wall of the upper arch of the first alternative of the fourth embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the lower arch of the first alternative of the fourth embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. Fig. 7 shows an occlusal surface of a first alternative of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. 1 shows an occlusion guide of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 3 shows an occlusion guide of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 5 shows an occlusal guide of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention.

  Referring to these figures, in particular FIGS. 1-3, a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention is shown. More particularly, the orthodontic elastic adjustment device 1 for a tooth-skull-facial device is essentially elastically deformable with a pair of upper and lower guides 2 for the dental arch. Consists of occlusal bimaxillary (maxillary and mandibular) devices. In particular, the pair of guides 2 comprises an outer guide 2 that covers the entire vestibular gingival surface extending to the upper and lower teeth and the area of the foramen, ie a predetermined vestibule flange and a gingival position, lower jaw position, tongue position, And an inner guide 6 that completely covers the partial palate position, ie a predetermined tongue-palate flange. As shown in FIG. 2, the two arches are connected by an occlusal surface 3, which is elastically deformable and may be subject to a chewing action by the person using it, thus The area in contact with the flange 2 can be gently massaged by rubbing. In this way, the occlusal surface is directed to obtain a muscular relaxing action of the muscular nervous system (muscle and innervation) and provides a series of stimuli with gingival and bone reconditioning (periodontal).

  For example, in order to position an insertable and removable combination having a thickness equal to about 2 mm in connection with the upper surface of the occlusal surface 3 to effect a change in the occlusal surface of the device 1, the apparatus 1 shown in FIG. Behind the upper surface of the occlusal surface, a groove is provided laterally at the corner between the occlusal surface 3 and the vestibular flange 2 and tongue flange 6.

  In addition, at the edge of the upper rear region of the flange 6 corresponding to the molar or the sixth molar, two protruding buttons as a metric for the device 1 to help detect the size of the device relative to the extent of the patient's dental arch 9 is provided.

  The device 1 also includes inlets that are better defined as elements 10a, 11, 12 for escaping the lip, tongue, and side ligaments, these inlets being lip, tongue, Enables precise positioning with the belt and with its side subbands respectively

  As shown in FIG. 3, the inside of the device 1, that is, the portion in contact with the tongue, also has a lower height and footprint than the flange 2 to cover the upper and lower arches described above, the inside of the tongue-palate It is molded with a pair of flanges 6 (a palate at the upper end and a tongue at the lower end).

  Referring again to FIG. 3, it can be noted that the palatal upper flange 6 comprises a recessed area 8 that is used to escape the rear incisor papilla. In fact, a posture receptor is located in this region of the palate, which posture receptor must always be stimulated by the tongue of the patient using the device 1 and the concave region 8 is a palatal posture receptor. The body area is left completely free for stimulation of the receptor under the action of the device 1, thereby avoiding any rubbing without pressing the back incisor papilla.

  Furthermore, the upper palatal flange 6 has a steeply inclined surface 6a for positioning the tongue, and a special swallowing problem associated with a low posture, or when the tongue is turned or rotated. With a button 9a to guide and thereby allow a re-education movement of the tongue for proper swallowing. Further, the inclined surface 6a extending from the upper edge of the bottom rear incisor palate to the edge of the tongue band is inclined so as to act on the teeth as a shield against the intervention of the tongue, and in addition, the tongue is directed to the small button 9a. Configured to provide tongue support for guidance. Therefore, the tongue is acted to be in the correct posture (spot) during the rest phase, and is acted to be swallowed correctly by peristaltic movement towards the palate.

This type of steep slope 6a extending to the front lower teeth is designed with a triple function. This is because the inclined surfaces also act on the teeth as a shield for the intervention of the tongue, thereby repositioning the misplaced teeth (mandibular incisors) when these teeth stagnate. This is because it is determined by gentle pressing for the purpose of guiding at a precise alignment position.

  In the concave volume 7 bounded by the two outer vestibular flanges 2, the palate-lingual inner flange 6 and the occlusal surface 3 serving as a connecting means, the teeth of the patient using the device are arranged. .

  Preferably, according to the invention, the device 1 is designed for a round face shape that is closest to a circular shape.

  4-6 show a device 10 as a first alternative to device 1, which device 10 is specifically designed for the round face shape closest to the S-curve shape.

  7-9 show a device 20 as a second alternative to device 1, which device 20 is specifically designed for the face shape closest to the rectangular shape.

  FIGS. 10-12 show a device 20 ', which is a third alternative to the device 1, which is designed specifically for the normally rounded shape of the face reflecting the normal human form.

  It is believed that all of the devices 1, 10, 20, 20 'can be used for the first skeletal class or with respect to the precise position situation of the occlusal relationship between the upper arch and the antagonistic lower arch. In particular, the device 1, 10, 20, 20 ′ comprises a vestibular flange 2 and a tongue flange 6 that substantially coincide with the gingival ridge and extend substantially to the boundary with the arch.

  According to one aspect of the present invention, the vestibular upper flange 2 is between 1.5 mm in the border area near the arch for proprioceptive stimulation of the bone matrix and between 3 mm decreasing towards the central area of the occlusal surface. The vestibular lower end flange 2 has a thickness that is barely larger than the vestibular upper flange 2 and extends over about 5/7 mm of teeth corresponding to the lower anterior teeth, so that the lower Provides lip shield effect for readjustment of lip muscles. This arrangement is particularly beneficial when there is no good muscular lip tension due to loss of vertical dimension of the mouth.

  According to another aspect of the present invention, the rear lower vestibule flange 2 is shaped and attached to the teeth and extends about 2.4 mm beyond the teeth and to the boundary with the last posterior positioning molar. It extends in length. However, the upper palatal flange is in a predetermined bottom region at the border with the palate with minimal post-incision palatal support, with a thickness that ranges from 3 mm to 5 mm.

  According to another aspect of the present invention, the lower tongue flange 6 is well attached to the teeth and extends beyond and in contact with the gingival bone region of about 3-4 mm and To promote good expansion, it has a thickness of 3-5 mm.

  The two side tongue flanges 6 extend from the tongue shield having a steep inclined surface 6a substantially coincident with the teeth and extend to the last posterior positioning molar. The two vestibular flanges 2 and the tongue flange 6 are coincident between them from the occlusal surface 3 so that they form an arched type so as to form a guide track to the teeth towards the outer and inner walls of the gingival ridge. Form a guide related to The thickness of the guide varies from approximately 2 mm in the upper anterior (incisor canine) region to 5/6 mm in the posterior (molar) region and 10 mm in the posterior region of the molar. . Instead, the lower arch guide is the same, but about 1 mm narrower. This type of track is essential for proper repositioning of both the arch base and teeth of the dental arch by flange attachment and stimulation (proprietary acceptance) that can be successfully hooked to the teeth and at the bone level (periodontal). is there.

  Preferably, according to the invention, the type of occlusal surface connecting the two flanges is designed taking into account the properties associated with the individual natural physiology. This is because their properties correspond to joint (ATM) support to obtain proprioceptive contact to the curves and to the rises that characterize them. In fact, the occlusal surface of the first class orthodontic appliance 1, 10, 20, 20 ′ is further raised, for example about 2 mm, in the front region with respect to the rear occlusion 3b, as shown in FIG. 3C. It has the front occlusion part 3a. This, together with the elastic effect provided by the type of elastic material used, ensures a push-out stimulus for the back teeth above the vertical dimension of the mouth. This is one of the critical components in a successful treatment that frees the jaw and then frees the ATM with consequential improvements in both skeletal and muscle problems. It is. In addition, for the majority of skeletal malocclusions determined by overcapping or by reducing the vertical dimension of the mouth, the posterior occlusal surface is appropriate in relation to the speed and Wilson function curves for proper jaw growth. It has a shape with a curve.

13 to 15 show a second embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. The device 30 shown in FIGS. 13-15 is particularly associated with the mandible located behind the retracted or normal mandible, the mandibular incisor located later, and the edge incisor that strikes the palate. Designed to solve the malocclusion problem referred to in the second skeletal class, which shows a very pronounced overbite, while the maxillary incisors are very epigenetic and fan out forward It is done. This skeletal morphology has led to major lip failure, thereby causing damage to the muscular nervous system (muscle tension and masticatory muscle contracture due to loss of muscle tone), as well as negative results and emergency The joint (ATM) is impaired with unpleasant facial aesthetics (joint disorders caused by obturation of the jaw due to overbite). Furthermore, in such cases, with abnormal swallowing that impedes mastication and development, the tongue is positioned at the lower end rather than against the palate due to lack of space in the oral area.

  The orthopedic device 30 for the second skeletal class has the same characteristics of the devices 1, 10, 20, 20 ', but in particular the dental arch (maxilla and mandible) at the exact first class skeleton position. With the goal of positioning the anatomy, taking into account the addition of other components that improve its function to benefit at both the functional (muscle readjustment and joint) level and the aesthetic level (a clear occlusal surface Designed to restore the exact position of the jaw by advancing the jaw (using a guide).

  Preferably, according to the present invention, the occlusal surface of the device 30 for the second skeletal class is raised slightly relative to the first class of occlusal surface in the front region (edge-canine region). . In this way, the vertical dimension is further increased to relax the masticatory muscles, thus improving the muscular nervous system. The jaw is adjusted at the protruding position (front position) by the steep inclined surface 6a. Subsequently, in order to stabilize the jaws in this form, special stimulation movements should be performed by the patient during the day and the device must also be held during the night.

  Preferably, according to the present invention, the orthodontic device 30 has a very high vestibular flange 2 at the boundary with the upper arch and also removes the flange from the contact with the fornix in the region of the upper anterior tooth. Due to the spread of the upper anterior teeth (incisors) that generally have a tendency and at the same time obstruct the upper lip, it has an indentation effect, i.e., an effect that more closely matches the cap.

  In addition, the orthodontic appliance 30 provides a lower vestibular flange 2, which is successfully hooked around the teeth along its entire circumference, but usually with a very hypotonic lower lip. In the lower tooth (incisor) region, it is further extended to the border with the lower lip (for example, acts as a lower lip shield) to be reconstructed by special movement and become more muscle-toned. The tongue flange 6 also hooks well to the teeth, but especially in the lower center area with a tongue shield and steep sloped surfaces, using a small button to act as a stimulus, Special movements to be considered (speech therapy) extend to guide the tongue towards the spot in the correct posture, and sometimes such movements (regular with the tongue in the correct position) It is also very important to readjust the joint (ATM) when swallowing. In the central area of the insole at the border with the small button, there is a small concave surface that does not interfere with the posterior incisor papilla, while the two vestibular and lingual flanges connect to the occlusal surface and have good lip performance and Teeth and gingival ridges for orthopedic effects due to the symmetry of the dental arches and devices that simultaneously determine recovery of the musculoskeletal system (which is not normally controlled) and for function and better aesthetics Well coupled to.

  FIGS. 16-18 show a third embodiment of the orthodontic elastic adjustment device for tooth-skull-facial appliances, particularly directed to the third skeletal class. In particular, the device 40 is specially designed for the third skeletal class. This type of skeletal class is characterized by malocclusion caused by functionality, joints (ATM), and cervical spine and is aesthetically pleasing to the patient. The lower jaw is in a protruding position, ie, placed forward compared to the normal position, in which case the upper incisor is in the opposite position to the lower incisor (cross bite), thereby causing an abnormal occlusion A relationship is provided, thus leading to severe malocclusion due to incorrect movement of the two jaws in the sagittal direction (front-back). One of the main causes of malocclusion of the skeletal nature of the third functional class is atypical swallowing with low tongue posture pressing against the lower teeth and abnormal thrust exerted on the mandibular position, This causes mandibular growth to occur in the protruding position and causes the spread of teeth, especially the mandibular incisor, sometimes resulting in significant damage with its mobility at the bone periodontal level. The orthodontic elastic adjustment device 40 for tooth-skull-facial equipment is a mandibular pseudo-protrusion that positions the dental arch at a regular incisor ratio with a very special occlusal configuration tailored to the type of skeletal class Designed for the treatment of (mandibular pseudo-prognazie). In particular, the upper teeth, on the back-front sliding surface, in addition to the recovery of the correct position of the upper and lower jaws in the first class, with the aim of determining the opposite force pair for the combined effect. Furthermore, the lip shield 46c shown in FIG. 18 of the lower front flange 6 which is just hooked on the teeth and extends downwards towards the lower lid, in addition to the symmetry of the deflection of the device when they are present Is located by exerting pressure for the braking action of the jaws through. More specifically, the orthodontic elastic adjustment device 40 for the tooth-skull-facial device for the third class comprises the vestibular flange 2 and It has a tongue-palate flange 6. In addition, the vestibule flange 2 is oriented high and well at the boundary with the arch, but in the anterior region of the anterior teeth (anterior maxilla). The flange 2 is slightly separated from the gingival bone region to form a kind of upper lip shield. This feature corresponds to the possible presence of bone retraction within the same region due to very over-tensioned lips that do not allow development. Eliminating lip pressure allows bone growth and development in the area of the anterior maxilla, while stimulating the lips to regular muscle tone. Instead, the lower vestibular flange 2 is fairly coincident with the teeth in the region of the anterior teeth so as to form a restraint shield for mandibular growth. In addition, the vestibule flange 2 has a small button to act as a stimulus, especially with a special movement (speech treatment) that eliminates one of the inherent causes of tooth instability, in line with the teeth. Used to extend in the central posterior tongue region with a steeply inclined surface to guide the tongue toward the spot in a precise posture. In the front center area of the insole at the boundary with the small button, there is a small concave surface that does not interfere with the rear incisor papilla.

  FIG. 19 shows the occlusal surface 3 'for the second skeletal class, where the front occlusal surface 3'a is slightly higher than the rear occlusal surface 3'b. The occlusal surface 3 ″ for the third skeletal class shown in FIG. 20 has differently designed surfaces, unlike the occlusal surfaces for the first and second classes. This is because the rear occlusal surface 3 ″ b is slightly higher than the front occlusal 3 ″ a (incisor canine region) with a sliding effect toward the front of the upper jaw compared to the lower jaw occlusion. Finally, the two vestibular flanges 2 and tongue flange 6 are connected to the occlusal surface, so that for accurate lower posture and swallowing, as well as for orthopedic symmetrical effects of the dental arch and thus the craniofacial system Therefore, it adheres to the teeth for orthopedic effects and places the dental arch in the first skeletal class, thereby ensuring good ability of the lips for better function and appearance.

  21 to 22 show a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention, and FIGS. 23 to 24 show a tooth according to the present invention. -Skull-shows a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for facial equipment. Both devices 50, 60 shown in FIGS. 21-22 and 23-24, respectively, provide a first class of shaping in the presence of dental arch deflection and defects associated with craniofacial deflection. Designed specifically for very young children with completely missing teeth (milk teeth), with the same features of the surgical device. These devices include a vestibular flange 2 and a tongue flange 6 that successfully hook teeth and gingival ridges, and there is always a tongue shield with a steep slope to direct the tongue to the spot. There is also a housing for the rear incisor papilla in the central region of the insole.

  Furthermore, preferably in accordance with the present invention, the device 1, 10, 20, 20 ', 30, 40, 50, 60 is a tab for further stimulating the tongue towards the spot and prompting the child for proper swallowing. 9a, 19a, 29a, 29'a, 39a, 49a, 59a, 69a.

  Preferably, according to the present invention, as shown in FIG. 25, the occlusal surface 3 ″ ′ of the device 50, 60 does not involve a Spie curve and a Wilson curve, taking into account the absence of the first permanent molar. Is completely horizontal.

  Preferably, according to the present invention, as shown in FIG. 26, the occlusion guides 13, 14, 15 of the devices 1, 10, 20 allow for the precise positioning of the occlusion keys.

  Furthermore, preferably according to the invention, the device 60 comprises an outer gripping element 61, for example a pacifier. This type of orthodontic elastic adjustment device 60 for tooth-skull-facial equipment is suitable for children after 3 years of age or 5 years of age (usually with children having no bruxism at night) Even used when it has an associated neuromuscular tone.

  In addition, the device has a very good elasticity, like a non-tensioned instrument, and especially for preventive treatments that are very obstructive to the skull-facial skeletal structure. Indeed, preferably according to the invention, the materials used for the construction of the device 1, 10, 20, 20 ′, 30, 40, 50, 60 are elastic, in particular on the shore scale. A biocompatible silicone or thermoplastic type with a measured 53 or 58 or 62 hardness.

  For devices 50 and 60, the hardness is equal to 45 measured on the Shore A scale.

  Each type of material has its own unique function with respect to masticatory load and is therefore adapted to the treatment of children and adults with masticatory forces and different tensions.

  According to one aspect of the invention, the material forming the illustrated device is selected from:

  Dinabase with three grades of Shore hardness 53-58-62 which are quite effective and comfortable when worn and do not present difficulties in processing;

  -Corflex with three levels of Shore hardness 45-60-80. In particular, the materials Corflex Soft 45 and 60 are indicated for tonic disorders (muscular tension) and neuromuscular, while Corflex 80 is more indicated for certain types of joint disorders, especially for skull-facial structures. Used for purely orthopedic osteopathy when lesions are present with different deflections.

  These features give the illustrated device the ability to perform gingival and muscular massage operations without the risk of injury or mucosal detachment during use.

  The preferred embodiment of the present invention according to the accompanying figures considers an embodiment of the device 1 suitable for standard arch sizes. A device 1 is also realized which is represented by different sizes adapted to a small mouth.

  From an operational point of view, end users using the aforementioned devices must place the device in the correct position in their mouth, and chew the device for a specific number of times every day over a generally regular interval. Operation can be performed. This masticatory action has multiple beneficial effects as described below, with maxillary and mandibular teeth that regularly bite the occlusal surface on both the upper and lower sides (vestibule flange, palatal-lingual flange, and occlusal surface) Is located in a concave space bounded by In some cases, the use of the device is also associated with the use of the specific product in the form of a gel to be applied to the inner layer of the vestibular flange, i.e. the device itself with parts that come in direct contact with the teeth and gums. obtain.

  In use, the device according to the invention exerts an action on the upper jaw by positioning the jaw via specific stimuli on the structure and geometry type of the device itself and by the effect of the elastic material used. Gives well-determined muscle action. An orthodontic elastic adjustment device for tooth-skull-facial devices affects the tension of the suture and the skull structure, re-adjusts the position of different skulls and then the entire craniofacial system As a result, the teeth can be positioned (relative to this new bone balance) by actual proper gymnastics. Both the flange and the occlusal surface extend upward to cover all teeth that are well attached to the gingival ridge, forming a binary, i.e. both the upper arch and the lower part, and the inherent acceptance of the gum region In order to determine the action, therefore, different propulsion disorders of the craniofacial structure are restored, resulting in the alignment of teeth that are not well positioned in the arch. In addition, the bimaxillary action of the orthopedic device is also critical for jaw repositioning when jaw deflection is present. The device is also arranged for posture re-education, and when abnormal swallowing is present, swallowing the tongue through a small button that acts as a stimulus and an inclined surface that pushes and moves the tongue in the center of the tongue flange. to correct. In addition, the device simultaneously acts as a dilator and a dental arch, thanks to an elastic type of actuation due to the manufacturing material that can provide an orthopedic action. Therefore, the orthodontic elastic adjustment device for tooth-skull-facial equipment is suitable for its therapeutic effectiveness and for the recovery of skull-facial skeletal disorders, Suitable for resolution of lesions, occlusal lesions, joint (TMJ) lesions, tonic neuromuscular lesions, and postural lesions, and rehabilitation of impaired functions such as swallowing, mastication, speech, bruxism, and nighttime snoring Serves as a suitable tool in The operation of the device is performed by motivating the patient to perform specific exercises to obtain true self-stimulation that balances and adjusts the aforementioned obstacles again.

  Accordingly, the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention provides a more comprehensive and appropriate treatment with their class and any form of asymmetry, thereby enabling the arch Taking into account the different types of shapes and the development of different types of stomatognathic devices that are most suitable for defect correction at the very moment of the patient, three spatial planes (vertical plane, horizontal plane and sagittal) Orientation of the treatment to achieve a good vertical nerve center (verticentrica) and good adjustment of the dental arch acting in the plane), which is the standard of clinical efficacy of treatment (elastic orthodontic teeth for orthodontics) -Cranial-to achieve neural excitement (by the fully elastic effect of the facial device) and eliminate all obstacles and causes of the skeletal skull-facial modification metric system.

  In addition, the orthodontic elastic adjustment device for tooth-skull-facial equipment according to the present invention can be used by both adults and children.

  Another advantage of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention is a flexible functional device for the upper and lower jaw that is effective in shaping the dental arch. Thus, it does not determine possible trauma or damage to the teeth or periodontal tissue, and as a result is not invasive. The orthopedic rehabilitation of the device is: the stomatognathic system (tooth, periodontal tissue, masticatory muscles, joint (TMJ), cheek, lips, tongue, innervation, vascularization, maxilla and mandible) And through its mechanism of action, allows true muscle gymnastics training on the most suitable neuromuscular function. The muscle relaxant action that results in the elimination of stretch and muscle contraction can actually obtain jaw realignment, the teeth regain their place, and the relationship between the bones of the skull is improved.

  Another advantage of the orthodontic elastic adjustment device for tooth-skull-facial equipment according to the present invention is that it is non-invasive and easy to withstand even for more nervous patients.

  Furthermore, the elastic adjustment device for orthodontics for tooth-skull-facial device according to the present invention has ATM dysfunction (temporal mandibular joint), extra-articular dysfunction, temporal mandible meniscus, and occlusion Indicated for patients. It is associated with a specific movement and can correct the correct posture tongue. Thus, to correct swallowing, breathing, mastication, and vocalization, one can see various serious dental disorders, periodontal, skull-mandible, neuromuscular and postural improvement, and restoration of mouth autonomic function it can.

  Finally, the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention guides and stimulates the pulses generated by the muscle movements that cause functional and physiological arousal development, Thereby, the formation of the tissue, the adaptation of the tissue, and the form of the tissue are promoted according to the direction, intensity, and frequency of these stimuli. At the functional level, the growth of the condylar region can be stimulated to correct malocclusion and then be reloaded neurologically so that the muscular system can be regenerated. Due to the vibrational effects obtained by specific movements that correspond to the actual gymnastics transmitted in all of the craniofacial devices, the device is very important in producing a muscle relaxant effect that results in the elimination of voltage and muscle contractures. The device also provides a deep tissue massage that improves metabolic degradation and edema removal of inflammatory processes and favors normalization of the neuromuscular system.

Finally, the orthodontic elastic adjustment device for the tooth-skull-facial device described and illustrated herein has been changed without departing from the scope of protection of the present invention as defined in the appended claims. Obviously, it can undergo deformation.

The present invention relates to an orthodontic elastic adjustment device for a tooth-skull-facial device.

  In particular, the present invention relates to an orthodontic elastic adjustment device of the type used in tooth-skull-face orthopedics.

  Orthopedic tooth-skull-facial orthopedic surgery will enable proper positioning of the facial skeleton with complete neuromuscular and joint balance (ATM) to properly determine tooth-skeletal malocclusion It is known to aim at eliminating any negative obstacles that can be changed. This type of skull-face orthopedics addresses the modification and resolution of deformations of the bone skeleton of the facial skeleton. Different types of skull-facial imbalances with relatively small discrepancies can be determined in most cases by osteoarticulation issues. In addition, cranial-facial bone structure disorders can be disproportionate to the problems associated with two molars (upper dental arch and mandibular arch) in the presence of malocclusions, and the ratio between the same arches. Any of the gaining cranial problems must be evaluated. For this reason, the dental arch and the skull-facial bone structure must also take into account all the muscular structures, in particular the tongue, skull muscles and joints. In addition, the masticatory function and the mechanism of masticatory organ growth must be evaluated. In this context, appropriate “mastication function” should be achieved by starting treatment as early as possible and monitoring all illnesses that can change the chewing pattern of the patient throughout life. To achieve this objective, orthopedic functional instruments that modify the craniofacial skeletal structure and mandibular posture with therapeutic sensations to improve the function and shape of the skeletal structure forming the stomatognathic device can be used. is necessary. In addition, orthodontic and orthopedic work must be evaluated with respect to the shape of the palate and skull-facial system.

  Furthermore, it should be taken into account that the position of the mouth and head is a component of posture recovery force, and that each misalignment of the head results in different neck muscle inconsistencies and tension asymmetries with respect to the type of deflection. is there. These tensions are connected to the underlying trunk muscles and other parts of the underlying facial masticatory muscles, thereby deforming the structure and causing malocclusion. In fact, skull-facial bones can be considered metamorphic vertebrae, and there is structural continuity between the skull and the spinal column. This is due to the above mentioned structural impairments that define osteopathic damage, and with the resulting spinal metastasis, and thus posture changes, can determine various squamous-facial ulcer disorders. This is the reason why malocclusion may exist as cranial scoliosis.

  The relationship between the two skull-facial structures and the dental arch is very obvious. This type of defect can also be detected by reading the aesthetics of the face. When there is a defect, it may have different types of deformation of the skull and face, unaligned lips, nose, eye deflection, and facial ulcer disorders that are adjusted by systematically distorted jaws resulting in malocclusion It can be assumed. When this system deflection is present, it is disturbing and can affect all skull-facial and stomatognathic systems, and the entire body suffers from the consequences.

  The definitive key to disability by osteopaths, orthodontists, functionalists, and orthopedists is occipital deflection, and bones located posteriorly at the base of the skull are particularly important. This is because it is connected to the spinal column via the first vertebra of the cervical spine, and the sphenoid bone is also an important bone, located in the center of the skull-facial system, and the position of the maxilla is Depending on their connection, it depends on the sphenoid bone.

  In fact, when these two structures, namely the occipital region and the sphenoid bone, are displaced due to inaccurately located gears, the given cartilage connection-spheno-basic (SSB) Determines maxillary rotation, which causes various types of malocclusions with associated craniofacial ulcer damage through a direct connection to the sphenoid gear. Different deflections incurred by the occipital and sphenoid bones are: bending failure, extension failure, failure due to torsion, failure due to lateral flexion-rotation, failure due to high vertical strain, failure due to low vertical strain, bilateral That is, a predetermined failure classified as a lateral distortion failure and a compression failure that can occur all from the left and right.

  Many are collapses at all levels of the tooth-skull-facial structure when these disorders are present due to skull posterior and sphenoid deflections. These pains can begin in the spine and spread throughout progression.

  As such, orthodontic and orthopedic devices that adjust the tooth-craniofacial structure also benefit the spinal column and thus determine the proper posture.

  A known solution is an orthodontic device described in patent application FO2014A000002 assigned to EPTAMED SRL. In particular, this orthodontic apparatus is adapted to be inserted between the upper and lower dental arches of the user. The device is formed at least in part by an elastically expandable material and comprises at least one arc-shaped channel for at least a partial housing of the dental arch. Furthermore, the orthodontic device described comprises at least one position indicator element in a predetermined area designed to be expanded to change the housing channel.

  However, other known tooth-facial orthopedic devices, including the devices of the aforementioned patent applications, are particularly inferior jaw growth (second skeletal class where the jaw is located behind the maxilla) or excessive jaw Treat certain types of skeletal malocclusion associated with development (third skeletal class with jaws anterior to maxilla) or lateral shift of the jaw (displaced right or left with respect to maxilla) In addition, only skeletal problems that can be vertical or sagittal base points (back and forth movement) or crossing (jaws moved to the right or left with respect to the upper jaw) are considered. Thus, the known device is totally unsuitable for solving the skull-facial skeletal problem, i.e. the deflection (changing symmetry) of the skeletal structure forming any entity of the skull-facial structure. Furthermore, the device of the EPTAMED patent does not take into account aspects of the person's physique, has the limitations of the type of arch shape, and has features that are not suitable for solving different ulcer disorders of the tooth-craniofacial system. This is because the flange does not align well with the teeth and the gingival bone region is necessarily very short and not at the boundary with the arch. Therefore, it cannot bring about the effect of proprioceptive stimulation of the bone matrix necessary to restore the balance of the tooth-skull-facial structure.

  In fact, the known devices cannot move the skull to restore the structure of the skull-facial-mandibular bone structure, nor can it adjust the dental arch.

  Two known solutions dealing with these problems are when DE-A-10201310291 and U.S. Pat. No. 5,876,199. The first patent application describes an orthodontic appliance comprising a device body for mounting on a topsheet, the device body comprising an inner wall located on the lingual side of the topsheet and a patient's upper arch on the buccal side. And a web, the web connecting the inner wall and the outer wall, each wall having an upper end protruding beyond the web, the upper end being an upper dental arch. And the inner and outer walls each have a lower portion depending below the protuberance, the lower portion defining a receiving channel for the lower dental arch and notifying the upper portion of the inner wall The upper portion of the inner wall of the tongue opening that is defined to receive the tip of the tongue is configured such that the tip of the front of the palate is adjacent when the tip of the patient's tongue is received.

  The second patent describes an orthodontic appliance that can be adapted to various mouth and tooth sizes to help properly position the teeth in the individual's mouth. The device includes a lip-oral flange and a tongue flange spaced from the lip-oral flange, both of which define a generally U-shaped configuration with an occlusal view, and the device includes two flanges. Includes isthmus that connect to each other. At least one tooth space is defined between the lip-oral flange and the tongue flange to accept either the upper row or the lower row of the individual teeth. This appliance does not include individual tooth sockets, but instead utilizes the pressure applied by the lip-oral flange, tongue flange, and the relative angle and material thickness to properly position the teeth. The appliance can fit mouths and teeth of various sizes because it does not include individual tooth sockets. The instrument also serves as a device for preventing sleep apnea, snoring, and bruxism, as well as a competition mouth guard.

  The problem with these known solutions is that they do not provide correct re-education of the tongue and swallowing when these problems exist. In fact, the tongue has the most important role in the mouth as it can affect the shape of the dental arch and, among other things, can lead to inconsistencies. A person breathing through the nose contributes to respiratory primary parasympathetic action (CSP) by having the tongue positioned below the palate rather than on the palate and expanding the palate with each swallow. Instead, the person breathing through the mouth is placed at the lower end rather than the upper end where the tongue hits the palate. In this position, the tongue cannot stimulate its growth, and by being inserted over the teeth, various types of malocclusion and periodontal tissue that is sometimes even irreversible in anterior tooth loss And cause damage. However, if the tongue is in the correct posture and swallowing is accurate, it stabilizes the skull-vertebral column ratio and synchronizes the gastric pit-dental relationship, so that the sphenoid bone and the occipital region Balance the relationship between. The tongue, which does not make the palate compact and determines inaccurate swallowing, can interfere with these entire receptor system and lead to posture changes.

German Patent Application Publication No. 10201310291 US Pat. No. 5,876,199

  The object of the present invention is to ensure a polite adaptive occlusion scheme with respect to the skull-facial pattern and to adjust the skull-facial skeletal structure for recovery of several thrust disorders and skull and facial deflection. To provide an orthodontic elastic adjustment device for a tooth-skull-facial device that can perform "traditional" treatments, enable re-education of poor swallowing and overcome the limitations provided by known devices It is.

  According to the present invention there is provided an orthodontic elastic adjustment device for a tooth-skull-facial device as defined in claim 1.

  For a better understanding of the present invention, the present invention will now be described by way of example only, and not by way of limitation, with reference to the accompanying drawings.

1 shows a front view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a side view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a rear view of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a view of the inner wall of the upper arch of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows a view of the inner wall of the lower arch of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 1 shows an occlusal surface of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. 1 shows a front view of a first alternative of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention; FIG. FIG. 3 shows a side view of a first alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 3 shows a rear view of a first alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 3 shows a view of the inner wall of the upper arch of the first alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 4 shows a view of the inner wall of the lower arch of the first alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 4 shows a front view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a side view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a rear view of a second alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the upper arch of the second alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the lower arch of the second alternative of the first embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 6 shows a front view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a side view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a rear view of a third alternative of the first embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a view of the inner wall of the upper arch of the third alternative of the first embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the lower arch of the third alternative of the first embodiment of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention. FIG. 6 shows a front view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 3 shows a side view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a rear view of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the lower arch of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a front view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a side view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a rear view of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 8 shows a view of the inner wall of the lower arch of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 4 shows an occlusal surface of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 5 shows an occlusal surface of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a side view of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 7 shows a rear view of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 6 shows a view of the inner wall of the upper arch of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. FIG. 9 shows a side view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 9 shows a rear view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a perspective view of a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. FIG. 7 shows a view of the inner wall of the upper arch of the first alternative of the fourth embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. FIG. 7 shows a view of the inner wall of the lower arch of the first alternative of the fourth embodiment of the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention. Fig. 7 shows an occlusal surface of a first alternative of a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention. 1 shows an occlusion guide of a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 3 shows an occlusion guide of a second embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. Fig. 5 shows an occlusal guide of a third embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the invention.

  Referring to these figures, in particular FIGS. 1-3, a first embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention is shown. More particularly, the orthodontic elastic adjustment device 1 for a tooth-skull-facial device is essentially elastically deformable with a pair of upper and lower guides 2 for the dental arch. Consists of occlusal bimaxillary (maxillary and mandibular) devices. In particular, the pair of guides 2 comprises an outer guide 2 that covers the entire vestibular gingival surface extending to the upper and lower teeth and the area of the foramen, ie a predetermined vestibule flange and a gingival position, lower jaw position, tongue position, And an inner guide 6 that completely covers the partial palate position, ie a predetermined tongue-palate flange. As shown in FIG. 2, the two arches are connected by an occlusal surface 3, which is elastically deformable and may be subject to a chewing action by the person using it, thus The area in contact with the flange 2 can be gently massaged by rubbing. In this way, the occlusal surface is directed to obtain a muscular relaxing action of the muscular nervous system (muscle and innervation) and provides a series of stimuli with gingival and bone reconditioning (periodontal).

The occlusion of the device 1 shown in FIG. 2 to position and insert an insertable and removable band having a thickness equal to about 2 mm, for example, connected to the upper surface of the occlusal surface 3 to cause a change in the occlusal surface of the device 1 Behind the upper surface of the surface, first and second grooves are provided laterally, the first groove is provided at the corner between the occlusal surface 3 and the vestibule flange 2, and the second groove is , Provided between the occlusal surface 3 and the tongue flange 6.

  In addition, at the edge of the upper rear region of the flange 6 corresponding to the molar or the sixth molar, two protruding buttons as a metric for the device 1 to help detect the size of the device relative to the extent of the patient's dental arch 9 is provided.

  The device 1 also includes inlets that are better defined as elements 10a, 11, 12 for escaping the lip, tongue, and side ligaments, these inlets being lip, tongue, Enables precise positioning with the belt and with its side subbands respectively

  As shown in FIG. 3, the inside of the device 1, that is, the portion in contact with the tongue, also has a lower height and footprint than the flange 2 to cover the upper and lower arches described above, the inside of the tongue-palate It is molded with a pair of flanges 6 (a palate at the upper end and a tongue at the lower end).

  Referring again to FIG. 3, it can be noted that the palatal upper flange 6 comprises a recessed area 8 that is used to escape the rear incisor papilla. In fact, a posture receptor is located in this region of the palate, which posture receptor must always be stimulated by the tongue of the patient using the device 1 and the concave region 8 is a palatal posture receptor. The body area is left completely free for stimulation of the receptor under the action of the device 1, thereby avoiding any rubbing without pressing the back incisor papilla.

  Furthermore, the upper palatal flange 6 has a steeply inclined surface 6a for positioning the tongue, and a special swallowing problem associated with a low posture, or when the tongue is turned or rotated. With a button 9a to guide and thereby allow a re-education movement of the tongue for proper swallowing. Further, the inclined surface 6a extending from the upper edge of the bottom rear incisor palate to the edge of the tongue band is inclined so as to act on the teeth as a shield against the intervention of the tongue, and in addition, the tongue is directed to the small button 9a. Configured to provide tongue support for guidance. Therefore, the tongue is acted to be in the correct posture (spot) during the rest phase, and is acted to be swallowed correctly by peristaltic movement towards the palate.

  This type of steep slope 6a extending to the front lower teeth is designed with a triple function. This is because the inclined surfaces also act on the teeth as a shield for the intervention of the tongue, thereby repositioning the misplaced teeth (mandibular incisors) when these teeth stagnate. This is because it is determined by gentle pressing for the purpose of guiding at a precise alignment position.

  In the concave volume 7 bounded by the two outer vestibular flanges 2, the palate-lingual inner flange 6 and the occlusal surface 3 serving as a connecting means, the teeth of the patient using the device are arranged. .

  Preferably, according to the invention, the device 1 is designed for a round face shape that is closest to a circular shape.

  4-6 show a device 10 as a first alternative to device 1, which device 10 is specifically designed for the round face shape closest to the S-curve shape.

  7-9 show a device 20 as a second alternative to device 1, which device 20 is specifically designed for the face shape closest to the rectangular shape.

  FIGS. 10-12 show a device 20 ', which is a third alternative to the device 1, which is designed specifically for the normally rounded shape of the face reflecting the normal human form.

  It is believed that all of the devices 1, 10, 20, 20 'can be used for the first skeletal class or with respect to the precise position situation of the occlusal relationship between the upper arch and the antagonistic lower arch. In particular, the device 1, 10, 20, 20 ′ comprises a vestibular flange 2 and a tongue flange 6 that substantially coincide with the gingival ridge and extend substantially to the boundary with the arch.

  According to one aspect of the present invention, the vestibular upper flange 2 is between 1.5 mm in the border area near the arch for proprioceptive stimulation of the bone matrix and between 3 mm decreasing towards the central area of the occlusal surface. The vestibular lower end flange 2 has a thickness that is barely larger than the vestibular upper flange 2 and extends over about 5/7 mm of teeth corresponding to the lower anterior teeth, so that the lower Provides lip shield effect for readjustment of lip muscles. This arrangement is particularly beneficial when there is no good muscular lip tension due to loss of vertical dimension of the mouth.

  According to another aspect of the present invention, the rear lower vestibule flange 2 is shaped and attached to the teeth and extends about 2.4 mm beyond the teeth and to the boundary with the last posterior positioning molar. It extends in length. However, the upper palatal flange is in a predetermined bottom region at the border with the palate with minimal post-incision palatal support, with a thickness that ranges from 3 mm to 5 mm.

  According to another aspect of the present invention, the lower tongue flange 6 is well attached to the teeth and extends beyond and in contact with the gingival bone region of about 3-4 mm and To promote good expansion, it has a thickness of 3-5 mm.

  The two side tongue flanges 6 extend from the tongue shield having a steep inclined surface 6a substantially coincident with the teeth and extend to the last posterior positioning molar. The two vestibular flanges 2 and the tongue flange 6 are coincident between them from the occlusal surface 3 so that they form an arched type so as to form a guide track to the teeth towards the outer and inner walls of the gingival ridge. Form a guide related to The thickness of the guide varies from approximately 2 mm in the upper anterior (incisor canine) region to 5/6 mm in the posterior (molar) region and 10 mm in the posterior region of the molar. . Instead, the lower arch guide is the same, but about 1 mm narrower. This type of track is essential for proper repositioning of both the arch base and teeth of the dental arch by flange attachment and stimulation (proprietary acceptance) that can be successfully hooked to the teeth and at the bone level (periodontal). is there.

  Preferably, according to the invention, the type of occlusal surface connecting the two flanges is designed taking into account the properties associated with the individual natural physiology. This is because their properties correspond to joint (ATM) support to obtain proprioceptive contact to the curves and to the rises that characterize them. In fact, the occlusal surface of the first class orthodontic appliance 1, 10, 20, 20 ′ is further raised, for example about 2 mm, in the front region with respect to the rear occlusion 3b, as shown in FIG. 3C. It has the front occlusion part 3a. This, together with the elastic effect provided by the type of elastic material used, ensures a push-out stimulus for the back teeth above the vertical dimension of the mouth. This is one of the critical components in a successful treatment that frees the jaw and then frees the ATM with consequential improvements in both skeletal and muscle problems. It is. In addition, for the majority of skeletal malocclusions determined by overcapping or by reducing the vertical dimension of the mouth, the posterior occlusal surface is appropriate in relation to the speed and Wilson function curves for proper jaw growth. It has a shape with a curve.

13 to 15 show a second embodiment of the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention. The device 30 shown in FIGS. 13-15 is particularly associated with the mandible located behind the retracted or normal mandible, the mandibular incisor located later, and the edge incisor that strikes the palate. Designed to solve the malocclusion problem referred to in the second skeletal class, which shows a very pronounced overbite, while the maxillary incisors are very epigenetic and fan out forward It is done. This skeletal morphology has led to major lip failure, thereby causing damage to the muscular nervous system (muscle tension and masticatory muscle contracture due to loss of muscle tone), as well as negative results and emergency The joint (ATM) is impaired with unpleasant facial aesthetics (joint disorders caused by obturation of the jaw due to overbite). Furthermore, in such cases, with abnormal swallowing that impedes mastication and development, the tongue is positioned at the lower end rather than against the palate due to lack of space in the oral area.

  The orthopedic device 30 for the second skeletal class has the same characteristics of the devices 1, 10, 20, 20 ', but in particular the dental arch (maxilla and mandible) at the exact first class skeleton position. With the goal of positioning the anatomy, taking into account the addition of other components that improve its function to benefit at both the functional (muscle readjustment and joint) level and the aesthetic level (a clear occlusal surface Designed to restore the exact position of the jaw by advancing the jaw (using a guide).

  Preferably, according to the present invention, the occlusal surface of the device 30 for the second skeletal class is raised slightly relative to the first class of occlusal surface in the front region (edge-canine region). . In this way, the vertical dimension is further increased to relax the masticatory muscles, thus improving the muscular nervous system. The jaw is adjusted at the protruding position (front position) by the steep inclined surface 6a. Subsequently, in order to stabilize the jaws in this form, special stimulation movements should be performed by the patient during the day and the device must also be held during the night.

  Preferably, according to the present invention, the orthodontic device 30 has a very high vestibular flange 2 at the boundary with the upper arch and also removes the flange from the contact with the fornix in the region of the upper anterior tooth. Due to the spread of the upper anterior teeth (incisors) that generally have a tendency and at the same time obstruct the upper lip, it has an indentation effect, i.e., an effect that more closely matches the cap.

  In addition, the orthodontic appliance 30 provides a lower vestibular flange 2, which is successfully hooked around the teeth along its entire circumference, but usually with a very hypotonic lower lip. In the lower tooth (incisor) region, it is further extended to the border with the lower lip (for example, acts as a lower lip shield) to be reconstructed by special movement and become more muscle-toned. The tongue flange 6 also hooks well to the teeth, but especially in the lower center area with a tongue shield and steep sloped surfaces, using a small button to act as a stimulus, Special movements to be considered (speech therapy) extend to guide the tongue towards the spot in the correct posture, and sometimes such movements (regular with the tongue in the correct position) It is also very important to readjust the joint (ATM) when swallowing. In the central area of the insole at the border with the small button, there is a small concave surface that does not interfere with the posterior incisor papilla, while the two vestibular and lingual flanges connect to the occlusal surface and have good lip performance and Teeth and gingival ridges for orthopedic effects due to the symmetry of the dental arches and devices that simultaneously determine recovery of the musculoskeletal system (which is not normally controlled) and for function and better aesthetics Well coupled to.

  FIGS. 16-18 show a third embodiment of the orthodontic elastic adjustment device for tooth-skull-facial appliances, particularly directed to the third skeletal class. In particular, the device 40 is specially designed for the third skeletal class. This type of skeletal class is characterized by malocclusion caused by functionality, joints (ATM), and cervical spine and is aesthetically pleasing to the patient. The lower jaw is in a protruding position, ie, placed forward compared to the normal position, in which case the upper incisor is in the opposite position to the lower incisor (cross bite), thereby causing an abnormal occlusion A relationship is provided, thus leading to severe malocclusion due to incorrect movement of the two jaws in the sagittal direction (front-back). One of the main causes of malocclusion of the skeletal nature of the third functional class is atypical swallowing with low tongue posture pressing against the lower teeth and abnormal thrust exerted on the mandibular position, This causes mandibular growth to occur in the protruding position and causes the spread of teeth, especially the mandibular incisor, sometimes resulting in significant damage with its mobility at the bone periodontal level. The orthodontic elastic adjustment device 40 for tooth-skull-facial equipment is a mandibular pseudo-protrusion that positions the dental arch at a regular incisor ratio with a very special occlusal configuration tailored to the type of skeletal class Designed for the treatment of (mandibular pseudo-prognazie). In particular, the upper teeth, on the back-front sliding surface, in addition to the recovery of the correct position of the upper and lower jaws in the first class, with the aim of determining the opposite force pair for the combined effect. Furthermore, the lip shield 46c shown in FIG. 18 of the lower front flange 6 which is just hooked on the teeth and extends downwards towards the lower lid, in addition to the symmetry of the deflection of the device when they are present Is located by exerting pressure for the braking action of the jaws through. More specifically, the orthodontic elastic adjustment device 40 for the tooth-skull-facial device for the third class comprises the vestibular flange 2 and It has a tongue-palate flange 6. In addition, the vestibule flange 2 is oriented high and well at the boundary with the arch, but in the anterior region of the anterior teeth (anterior maxilla). The flange 2 is slightly separated from the gingival bone region to form a kind of upper lip shield. This feature corresponds to the possible presence of bone retraction within the same region due to very over-tensioned lips that do not allow development. Eliminating lip pressure allows bone growth and development in the area of the anterior maxilla, while stimulating the lips to regular muscle tone. Instead, the lower vestibular flange 2 is fairly coincident with the teeth in the region of the anterior teeth so as to form a restraint shield for mandibular growth. In addition, the vestibule flange 2 has a small button to act as a stimulus, especially with a special movement (speech treatment) that eliminates one of the inherent causes of tooth instability, in line with the teeth. Used to extend in the central posterior tongue region with a steeply inclined surface to guide the tongue toward the spot in a precise posture. In the front center area of the insole at the boundary with the small button, there is a small concave surface that does not interfere with the rear incisor papilla.

  FIG. 19 shows the occlusal surface 3 'for the second skeletal class, where the front occlusal surface 3'a is slightly higher than the rear occlusal surface 3'b. The occlusal surface 3 ″ for the third skeletal class shown in FIG. 20 has differently designed surfaces, unlike the occlusal surfaces for the first and second classes. This is because the rear occlusal surface 3 ″ b is slightly higher than the front occlusal 3 ″ a (incisor canine region) with a sliding effect toward the front of the upper jaw compared to the lower jaw occlusion. Finally, the two vestibular flanges 2 and tongue flange 6 are connected to the occlusal surface, so that for accurate lower posture and swallowing, as well as for orthopedic symmetrical effects of the dental arch and thus the craniofacial system Therefore, it adheres to the teeth for orthopedic effects and places the dental arch in the first skeletal class, thereby ensuring good ability of the lips for better function and appearance.

  21 to 22 show a fourth embodiment of an orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention, and FIGS. 23 to 24 show a tooth according to the present invention. -Skull-shows a first alternative of the fourth embodiment of the orthodontic elastic adjustment device for facial equipment. Both devices 50, 60 shown in FIGS. 21-22 and 23-24, respectively, provide a first class of shaping in the presence of dental arch deflection and defects associated with craniofacial deflection. Designed specifically for very young children with completely missing teeth (milk teeth), with the same features of the surgical device. These devices include a vestibular flange 2 and a tongue flange 6 that successfully hook teeth and gingival ridges, and there is always a tongue shield with a steep slope to direct the tongue to the spot. There is also a housing for the rear incisor papilla in the central region of the insole.

  Furthermore, preferably in accordance with the present invention, the device 1, 10, 20, 20 ', 30, 40, 50, 60 is a tab for further stimulating the tongue towards the spot and prompting the child for proper swallowing. 9a, 19a, 29a, 29'a, 39a, 49a, 59a, 69a.

  Preferably, according to the present invention, as shown in FIG. 25, the occlusal surface 3 ″ ′ of the device 50, 60 does not involve a Spie curve and a Wilson curve, taking into account the absence of the first permanent molar. Is completely horizontal.

  Preferably, according to the present invention, as shown in FIG. 26, the occlusion guides 13, 14, 15 of the devices 1, 10, 20 allow for the precise positioning of the occlusion keys.

  Furthermore, preferably according to the invention, the device 60 comprises an outer gripping element 61, for example a pacifier. This type of orthodontic elastic adjustment device 60 for tooth-skull-facial equipment is suitable for children after 3 years of age or 5 years of age (usually with children having no bruxism at night) Even used when it has an associated neuromuscular tone.

  In addition, the device has a very good elasticity, like a non-tensioned instrument, and especially for preventive treatments that are very obstructive to the skull-facial skeletal structure. Indeed, preferably according to the invention, the materials used for the construction of the device 1, 10, 20, 20 ′, 30, 40, 50, 60 are elastic, in particular on the shore scale. A biocompatible silicone or thermoplastic type with a measured 53 or 58 or 62 hardness.

  For devices 50 and 60, the hardness is equal to 45 measured on the Shore A scale.

  Each type of material has its own unique function with respect to masticatory load and is therefore adapted to the treatment of children and adults with masticatory forces and different tensions.

  According to one aspect of the invention, the material forming the illustrated device is selected from:

  Dinabase with three grades of Shore hardness 53-58-62 which are quite effective and comfortable when worn and do not present difficulties in processing;

  -Corflex with three levels of Shore hardness 45-60-80. In particular, the materials Corflex Soft 45 and 60 are indicated for tonic disorders (muscular tension) and neuromuscular, while Corflex 80 is more indicated for certain types of joint disorders, especially for skull-facial structures. Used for purely orthopedic osteopathy when lesions are present with different deflections.

  These features give the illustrated device the ability to perform gingival and muscular massage operations without the risk of injury or mucosal detachment during use.

  The preferred embodiment of the present invention according to the accompanying figures considers an embodiment of the device 1 suitable for standard arch sizes. A device 1 is also realized which is represented by different sizes adapted to a small mouth.

  From an operational point of view, end users using the aforementioned devices must place the device in the correct position in their mouth, and chew the device for a specific number of times every day over a generally regular interval. Operation can be performed. This masticatory action has multiple beneficial effects as described below, with maxillary and mandibular teeth that regularly bite the occlusal surface on both the upper and lower sides (vestibule flange, palatal-lingual flange, and occlusal surface) Is located in a concave space bounded by In some cases, the use of the device is also associated with the use of the specific product in the form of a gel to be applied to the inner layer of the vestibular flange, i.e. the device itself with parts that come in direct contact with the teeth and gums. obtain.

  In use, the device according to the invention exerts an action on the upper jaw by positioning the jaw via specific stimuli on the structure and geometry type of the device itself and by the effect of the elastic material used. Gives well-determined muscle action. An orthodontic elastic adjustment device for tooth-skull-facial devices affects the tension of the suture and the skull structure, re-adjusts the position of different skulls and then the entire craniofacial system As a result, the teeth can be positioned (relative to this new bone balance) by actual proper gymnastics. Both the flange and the occlusal surface extend upward to cover all teeth that are well attached to the gingival ridge, forming a binary, i.e. both the upper arch and the lower part, and the inherent acceptance of the gum region In order to determine the action, therefore, different propulsion disorders of the craniofacial structure are restored, resulting in the alignment of teeth that are not well positioned in the arch. In addition, the bimaxillary action of the orthopedic device is also critical for jaw repositioning when jaw deflection is present. The device is also arranged for posture re-education, and when abnormal swallowing is present, swallowing the tongue through a small button that acts as a stimulus and an inclined surface that pushes and moves the tongue in the center of the tongue flange. to correct. In addition, the device simultaneously acts as a dilator and a dental arch, thanks to an elastic type of actuation due to the manufacturing material that can provide an orthopedic action. Therefore, the orthodontic elastic adjustment device for tooth-skull-facial equipment is suitable for its therapeutic effectiveness and for the recovery of skull-facial skeletal disorders, Suitable for resolution of lesions, occlusal lesions, joint (TMJ) lesions, tonic neuromuscular lesions, and postural lesions, and rehabilitation of impaired functions such as swallowing, mastication, speech, bruxism, and nighttime snoring Serves as a suitable tool in The operation of the device is performed by motivating the patient to perform specific exercises to obtain true self-stimulation that balances and adjusts the aforementioned obstacles again.

  Accordingly, the orthodontic elastic adjustment device for a tooth-skull-facial device according to the present invention provides a more comprehensive and appropriate treatment with their class and any form of asymmetry, thereby enabling the arch Taking into account the different types of shapes and the development of different types of stomatognathic devices that are most suitable for defect correction at the very moment of the patient, three spatial planes (vertical plane, horizontal plane and sagittal) Orientation of the treatment to achieve a good vertical nerve center (verticentrica) and good adjustment of the dental arch acting in the plane), which is the standard of clinical efficacy of treatment (elastic orthodontic teeth for orthodontics) -Cranial-to achieve neural excitement (by the fully elastic effect of the facial device) and eliminate all obstacles and causes of the skeletal skull-facial modification metric system.

  In addition, the orthodontic elastic adjustment device for tooth-skull-facial equipment according to the present invention can be used by both adults and children.

  Another advantage of the orthodontic elastic adjustment device for the tooth-skull-facial device according to the present invention is a flexible functional device for the upper and lower jaw that is effective in shaping the dental arch. Thus, it does not determine possible trauma or damage to the teeth or periodontal tissue, and as a result is not invasive. The orthopedic rehabilitation of the device is: the stomatognathic system (tooth, periodontal tissue, masticatory muscles, joint (TMJ), cheek, lips, tongue, innervation, vascularization, maxilla and mandible) And through its mechanism of action, allows true muscle gymnastics training on the most suitable neuromuscular function. The muscle relaxant action that results in the elimination of stretch and muscle contraction can actually obtain jaw realignment, the teeth regain their place, and the relationship between the bones of the skull is improved.

  Another advantage of the orthodontic elastic adjustment device for tooth-skull-facial equipment according to the present invention is that it is non-invasive and easy to withstand even for more nervous patients.

  Furthermore, the elastic adjustment device for orthodontics for tooth-skull-facial device according to the present invention has ATM dysfunction (temporal mandibular joint), extra-articular dysfunction, temporal mandible meniscus, and occlusion Indicated for patients. It is associated with a specific movement and can correct the correct posture tongue. Thus, to correct swallowing, breathing, mastication, and vocalization, one can see various serious dental disorders, periodontal, skull-mandible, neuromuscular and postural improvement, and restoration of mouth autonomic function it can.

  Finally, the orthodontic elastic adjustment device for tooth-skull-facial device according to the present invention guides and stimulates the pulses generated by the muscle movements that cause functional and physiological arousal development, Thereby, the formation of the tissue, the adaptation of the tissue, and the form of the tissue are promoted according to the direction, intensity, and frequency of these stimuli. At the functional level, the growth of the condylar region can be stimulated to correct malocclusion and then be reloaded neurologically so that the muscular system can be regenerated. Due to the vibrational effects obtained by specific movements that correspond to the actual gymnastics transmitted in all of the craniofacial devices, the device is very important in producing a muscle relaxant effect that results in the elimination of voltage and muscle contractures. The device also provides a deep tissue massage that improves metabolic degradation and edema removal of inflammatory processes and favors normalization of the neuromuscular system.

  Finally, the orthodontic elastic adjustment device for the tooth-skull-facial device described and illustrated herein has been changed without departing from the scope of protection of the present invention as defined in the appended claims. Obviously, it can undergo deformation.

Claims (11)

-At least one set of vestibular flanges (2) extending upward to cover the upper and lower teeth and the upper and lower jaw vestibular gingiva;
A steeply inclined surface (6a) extending to cover the palatal and lingual surfaces of the upper and lower teeth and extending from the bottom incisor base edge to the lower anterior teeth to push and move the tongue At least one tongue-palate flange (6) comprising:
-At least one occlusal surface (3, 3 ', 3 ", 3"') for connecting the flanges (2, 6);
A concave empty volume (7) defined by the vestibular flange (2) and the tongue-palate flange (6) and the occlusal surface (3, 3 ′, 3 ″, 3 ″ ′);
An orthodontic elastic adjustment device (1, 10, 20, 20 ′, 30, 40, 50, 60) for a tooth-skull-facial device comprising:
The occlusal surface (3, 3 ′, 3 ″, 3 ″ ′), the occlusal surface (3, 3) at the corner between the molar position and the vestibular flange (2) and the tongue-palat flange (6) 3 ′, 3 ″, 3 ″ ′) corresponding to an alignment groove configured to receive an alignment removable clamp at the rear side of the top surface of each of the rear portions of the upper tongue-palate flange (6) Orthodontic elastic adjustment device (1, 10, 20, 20 ', 30, 40, 50 for tooth-skull-facial equipment, characterized by a cross-reference projection (9) configured at the edge , 60).   2. Orthodontic for tooth-skull-facial appliance according to claim 1, characterized in that the upper tongue-palat flange (6) is provided with a recess (8) suitable for escaping the posterior incisor papilla. Elasticity adjusting device (1, 10, 20, 20 ', 30, 40, 50, 60).   The orthodontic elastic adjustment for a tooth-skull-facial device according to claim 1, characterized in that it comprises three types of occlusion guides (13, 14, 15) configured for occlusal key positioning. Device (1, 10, 20).   The tooth-skull-facial device according to claim 1, characterized in that the vestibule flange (2) and the tongue-palate flange (6) are successfully hooked to the gingival ridge and extend to the arch edge. Orthodontic elastic adjustment device (1,10,20,20 ').   The lower end vestibule flange (2) is formed in close proximity to the teeth and extends to the last molar edge located behind the tooth 2mm beyond the teeth, and the upper end tongue-palate flange ( 6. A tooth for a tooth-skull-facial device according to claim 1, characterized in that 6) is arranged on the palate edge with a minimum support back of the incisal base side edge and a thickness of at least 3 mm Elastic adjustment device for row correction (1, 10, 20, 20 ′).   The tooth-skull-facial device according to claim 1, characterized in that the lower tongue-palat flange (6) is brought close to the teeth and extends over the contact with the bone gingival area of at least 3 mm. Elastic adjustment device for orthodontics (1, 10, 20, 20).   The vestibular flange (2) and the upper tongue-palate flange (6) are brought close together between them by the occlusal surface (3) to form a tooth rail guide, the tooth rail guide being in the upper anterior tooth region ( Having a thickness of at least 2 mm in the canine incisor), a thickness of at least 5 mm in the rear tooth region (molar), and a thickness of at least 10 mm in the rearmost region of the molar, 2) and the lower tongue-palate flange (6) are narrower than the upper flange, the orthodontic elastic adjustment device (1, 10, 10) for a tooth-skull-facial device according to claim 1 20, 20 ′).   The tooth-skull- according to claim 1, wherein the occlusal surface (3) has an anterior occlusal portion (3a, 3'a) that is raised above the posterior occlusal portion (3b, 3'b). Orthodontic elastic adjustment device (1, 10, 20, 20 ′) for facial equipment.   The said occlusal surface (3 ") has the back occlusion part (3" b) raised from the front occlusion part (3 "a) with the upper jaw front slide effect with respect to a mandibular occlusion. An orthodontic elastic adjustment device (40) for a tooth-skull-facial device according to claim 1.   2. The orthodontic elastic adjustment device for tooth-skull-facial equipment according to claim 1, wherein the protrusions (9a, 19a, 29a, 39a, 49a, 59a, 69a) are "tongues". (1, 10, 20, 20 ', 30, 40, 50, 60). The orthodontic elastic adjustment device (60) for a tooth-skull-facial device according to claim 1, characterized in that it comprises an outer grip element (61).